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File #: 22-5060    Version: 1 Name: Anthony Ciabattari - 09/21/22
Type: Workers' Compensation Claims Status: Approved
File created: 8/24/2022 In control: Finance Committee
On agenda: 9/21/2022 Final action: 9/22/2022
Title: Employee: Anthony Ciabattari Job Title: Road Equipment Operator Department: Highway Date of Incident: 07/07/2021 Incident/Activity: Petitioner injured his right foot when an asphalt roller landed on it while at work. Accidental Injuries: Right Foot Petition and Order No: 21 WC 34397 Claim Amount: $4,694.92 Attorney: N/A Date of Subcommittee Approval: N/A Prior/pending claims: N/A

title

Employee: Anthony Ciabattari

Job Title: Road Equipment Operator

Department: Highway

Date of Incident: 07/07/2021

Incident/Activity: Petitioner injured his right foot when an asphalt roller landed on it while at work.

Accidental Injuries: Right Foot

Petition and Order No: 21 WC 34397

Claim Amount: $4,694.92

Attorney: N/A

Date of Subcommittee Approval: N/A

Prior/pending claims: N/A

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